Provider Demographics
NPI:1841814134
Name:KHAWAR, NOZAINA (MA, CCC-SLP)
Entity type:Individual
Prefix:
First Name:NOZAINA
Middle Name:
Last Name:KHAWAR
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3802 FAWN TRL
Mailing Address - Street 2:
Mailing Address - City:JOPLIN
Mailing Address - State:MO
Mailing Address - Zip Code:64804-6026
Mailing Address - Country:US
Mailing Address - Phone:316-670-3319
Mailing Address - Fax:
Practice Address - Street 1:3802 FAWN TRL
Practice Address - Street 2:
Practice Address - City:JOPLIN
Practice Address - State:MO
Practice Address - Zip Code:64804-6026
Practice Address - Country:US
Practice Address - Phone:316-670-3319
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-02
Last Update Date:2020-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
14294332235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist